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Coverage and benefits
Get a quick overview of your plan benefits and costs, and find more detailed information about additional benefits and programs.
UnitedHealthcare® Group Medicare Advantage (PPO)
2024 materials
National PPO plan overview
- A national plan covering all eligible beneficiaries regardless of where they reside in the U.S., D.C. and 5 U.S. territories
- Visit doctors, specialists and hospitals in or out of our network for the same cost share as long as the provider participates in Medicare and accepts the plan
- Coverage for visiting doctors, clinics and hospitals
- Routine Vision, hearing, podiatry and chiropractic coverage
- Routine eyewear and hearing aid allowances
- No referral needed to see a specialist
Benefits and costs
| Benefit | UnitedHealthcare® Group Medicare Advantage (PPO) |
|---|---|
| Annual medical deductible | $175 combined for IN and OUT of network |
| Annual out-of-pocket maximum | $1,500 (Includes $175 deductible) combined for IN and OUT of network |
| Office and clinic visits | $0 copay |
| Hospital services (inpatient) | $0 copay |
| Hospital services (outpatient) | $0 copay |
| Emergency care | $50 copayment for each emergency room visit; waived if admitted to inpatient hospital within 24 hours |
| Emergency care – worldwide | $50 copayment for each emergency room visit |
| Health products benefit | Members receive $60 in credits each quarter ($240 each year) to use on approved health care products as shown in the catalog or website. Credits may be carried over from month to month. |
Preventive services
The following preventive services are covered under your plan for a $0 copay when you visit your primary care provider:
- Annual Wellness Exam
- Annual Routine Physical
- Screenings for certain Cancers (Prostate, colorectal, breast cancer)
- Screening for diabetes
- Smoking and Tobacco Use Cessation
For more information about these preventive services, please call the Customer Service number on your member ID card.
Disclaimer
Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the costsharing that applies to out-of-network services.